Individual
MR. AUSTIN CHANCE CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
100 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(606) 439-6600
Mailing address
4039 HIGHWAY 899, PIPPA PASSES, KY 41844-9027
(606) 438-4230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/14/2022
Last updated
09/13/2022
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